Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $41.96 / $166.49	Facility		$21.52	$41.96	$166.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $24.73 / $27.80	Professional		$21.68	$24.73	$27.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $16.68 / $16.68	Professional		$16.68	$16.68	$16.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $44.06 / $50.43	Professional		$20.85	$44.06	$50.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $61.35 / $127.39	Facility		$19.42	$61.35	$127.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $22.69 / $39.75	Professional		$17.79	$22.69	$39.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $16.39 / $25.55	Professional		$12.79	$16.39	$25.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $13,785.00 / $13,785.00	Facility		$19.46	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $19.46 / $25.55	Professional		$19.46	$19.46	$25.55
United Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Facility		$15.29	$15.29	$15.29
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $16.68 / $38.85	Professional		$10.76	$16.68	$38.85